[Federal Register Volume 88, Number 240 (Friday, December 15, 2023)]
[Notices]
[Pages 86901-86903]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-27550]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-24-0909; Docket No. CDC-2023-0096]


Proposed Data Collection Submitted for Public Comment and 
Recommendations

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice with comment period.

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SUMMARY: The Centers for Disease Control and Prevention (CDC), as part 
of its continuing effort to reduce public burden and maximize the 
utility of government information, invites the general public and other 
Federal agencies to comment on a continuing information collection, as 
required by the Paperwork Reduction Act of 1995. This notice invites 
comment on the proposed data collection titled, CDC Diabetes Prevention 
Recognition Program (DPRP). The Diabetes Prevention Recognition Program 
(DPRP) continues the collection of nationwide, de-identified data for 
the

[[Page 86902]]

implementation of the National Diabetes Prevention Program (National 
DPP) lifestyle change program using a set of evidence-based standards.

DATES: CDC must receive written comments on or before February 13, 
2024.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2023-
0096 by either of the following methods:
    <bullet> Federal eRulemaking Portal: www.regulations.gov. Follow 
the instructions for submitting comments.
    <bullet> Mail: Jeffrey M. Zirger, Information Collection Review 
Office, Centers for Disease Control and Prevention, 1600 Clifton Road 
NE, MS H21-8, Atlanta, Georgia 30329.
    Instructions: All submissions received must include the agency name 
and Docket Number. CDC will post, without change, all relevant comments 
to www.regulations.gov.
    Please note: Submit all comments through the Federal eRulemaking 
portal (www.regulations.gov) or by U.S. mail to the address listed 
above.

FOR FURTHER INFORMATION CONTACT: To request more information on the 
proposed project or to obtain a copy of the information collection plan 
and instruments, contact Jeffrey M. Zirger, Information Collection 
Review Office, Centers for Disease Control and Prevention, 1600 Clifton 
Road NE, MS H21-8, Atlanta, Georgia 30329; Telephone: 404-639-7570; 
Email: <a href="/cdn-cgi/l/email-protection#99f6f4fbd9fafdfab7fef6ef"><span class="__cf_email__" data-cfemail="f996949bb99a9d9ad79e968f">[email protected]</span></a>.

SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 
(PRA) (44 U.S.C. 3501-3520), Federal agencies must obtain approval from 
the Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. In addition, the PRA also requires 
Federal agencies to provide a 60-day notice in the Federal Register 
concerning each proposed collection of information, including each new 
proposed collection, each proposed extension of existing collection of 
information, and each reinstatement of previously approved information 
collection before submitting the collection to the OMB for approval. To 
comply with this requirement, we are publishing this notice of a 
proposed data collection as described below.
    The OMB is particularly interested in comments that will help:
    1. Evaluate whether the proposed collection of information is 
necessary for the proper performance of the functions of the agency, 
including whether the information will have practical utility;
    2. Evaluate the accuracy of the agency's estimate of the burden of 
the proposed collection of information, including the validity of the 
methodology and assumptions used;
    3. Enhance the quality, utility, and clarity of the information to 
be collected;
    4. Minimize the burden of the collection of information on those 
who are to respond, including through the use of appropriate automated, 
electronic, mechanical, or other technological collection techniques or 
other forms of information technology, e.g., permitting electronic 
submissions of responses; and
    5. Assess information collection costs.

Proposed Project

    CDC Diabetes Prevention Recognition Program (DPRP)--Revision--
National Center for Chronic Disease Prevention and Health Promotion 
(NCCDPHP), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    CDC's Division of Diabetes Translation (DDT) established and 
administers the National Diabetes Prevention Recognition Program 
(DPRP), which recognizes organizations that deliver a diabetes 
prevention program according to evidence-based requirements set forth 
in the CDC's Diabetes Prevention Recognition Program Standards and 
Operating Procedures (DPRP Standards). Additionally, the Centers for 
Medicare & Medicaid Services (CMS) Medicare Diabetes Prevention Program 
(MDPP) expansion of CDC's National DPP was announced in early 2016, 
when the Secretary of Health and Human Services (HHS) determined that 
the Diabetes Prevention Program met the statutory criteria for 
inclusion in Medicare's expanded list of health care services for 
beneficiaries (https://cmmi.my.site.com/mdpp/). This was the first time 
a preventive service model from the CMS Innovation Center was expanded 
into Medicare. After extensive testing of this model in 17 sites across 
the US from 2014-2016, CMS proposed the MDPP in Sections 1102 and 1871 
of the Social Security Act (42 U.S.C. 1302 and 1395hh section 424.59), 
authorizing CDC-recognized organizations to prepare for enrollment as 
MDPP suppliers beginning in January 2018 in order to bill CMS for these 
services. Only organizations in good standing with the CDC DPRP are 
eligible as MDPP suppliers. CDC continues to work with CMS to support 
the MDPP.
    CDC requests an additional three years of OMB approval to continue 
collecting the information needed to administer the DPRP and provide 
information needed by CMS to support the MDPP benefit. Based on 
experience with the DPRP from 2011-2023, including data analysis and 
feedback from applicant organizations and internal and external 
partners, CDC plans to revise the DPRP Standards and the associated 
information collection. Key changes are a direct result of DPRP data 
analyses, recent literature reviews, and discussion with National DPP 
stakeholders, including those serving socially vulnerable populations. 
Key changes to the evaluation data collection instrument allow for the 
collection of participant zip codes (for aggregate reporting only, not 
to be reported per each individual participant); an OMB-recommended 6-
point disability variable; a health equity-related social determinants 
of health (SDOH) variable set (to assess whether there was a social 
needs assessment conducted; key SDOH issues identified; and whether any 
action was taken); a Middle Eastern or North African write-in option 
within the current race/ethnicity variable; and two new options for the 
current payersource variable.
    Key changes to the application data collection instrument allow 
for: (1) a yes/no drop-down question asking if an organization's zip 
code is in an area of high social vulnerability based on the Social 
Vulnerability Index, which would permit an in-person organization to be 
fast-tracked to preliminary recognition status to allow the 
organization to apply to CMS to become an MDPP supplier; (2) revisions 
to the Combination delivery mode to include an option for in-person 
delivery with a distance learning component; and (3) collection of a 
projected program start-date.
    During the period of this Revision, CDC estimates receipt of 
approximately 200 DPRP application forms per year from new 
organizations. The estimated burden per one-time application response 
is one hour. In addition, CDC estimates receipt of semi-annual 
evaluation data submissions from the same 200 additional organizations 
per year, estimated at two hours per response. The total estimated 
average annualized evaluation burden to new respondents is 2,400 hours. 
This includes an estimate of the time needed to extract and compile the 
required data records and fields from an existing electronic database, 
review the data, and enter the data via the DPRP Data Portal. CDC also 
has 1,500 currently recognized organizations that will continue to 
submit semi-annual evaluation data. The estimated burden per response 
is modest, since the information requested

[[Page 86903]]

for DPRP recognition is routinely collected by most organizations that 
deliver the National DPP lifestyle change program for their own 
internal evaluation and possible insurance reimbursement purposes, 
including the MDPP benefit. Participation in the DPRP is voluntary, 
data are de-identified, no personally identifiable information (PII) is 
collected by CDC, and there are no costs to respondents other than 
their time. CDC is requesting a three-year revised approval. The total 
estimated annual burden hours requested is 7,400.

                             Estimated Annualized Burden Hours for New Organizations
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                                                                        Number of      Avg. burden      Total
        Type of respondent              Form name        Number of    responses per   per response    burden (in
                                                        respondents    respondent      (in hours)       hours)
----------------------------------------------------------------------------------------------------------------
Public sector organizations that   DPRP Application              80               1               1           80
 deliver the National DPP           Form.                       680               2               2        2,720
 lifestyle change program.         DPRP Evaluation
                                    Data.
Private sector organizations that  DPRP Application             120               1               1          120
 deliver the National DPP           Form.                     1,120               2               2        4,480
 lifestyle change program.         DPRP Evaluation
                                    Data.
                                  ------------------------------------------------------------------------------
    Total........................  ...................  ...........  ..............  ..............        7,400
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Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Public Health 
Ethics and Regulations, Office of Science, Centers for Disease Control 
and Prevention.
[FR Doc. 2023-27550 Filed 12-14-23; 8:45 am]
BILLING CODE 4163-18-P


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